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How Pulse Oximeters Work (2015)

183 点作者 zealotsm将近 5 年前

24 条评论

maxfan8将近 5 年前
Here is the WBM archive of it: <a href="https:&#x2F;&#x2F;web.archive.org&#x2F;web&#x2F;20200708064647&#x2F;https:&#x2F;&#x2F;www.howequipmentworks.com&#x2F;pulse_oximeter&#x2F;" rel="nofollow">https:&#x2F;&#x2F;web.archive.org&#x2F;web&#x2F;20200708064647&#x2F;https:&#x2F;&#x2F;www.howeq...</a><p>(for those who can&#x27;t access the original site due to it being hugged to death)
danieltrembath将近 5 年前
The Royal Melbourne hospital in Australia is using pulse oximeters to manage COVID positive patients in their own homes. The program was setup in March this year to manage a large number of patients remotely (cost&#x2F;safety).<p>The patients take their own measurements with a pulse oximeter and digital thermometer (both off the shelf consumer items). The person is prompted via SMS and submit their vitals via website. A software system orchestrates all of this and alerts patients and clinicians to anyone with worrying numbers.<p>This keeps beds free at the hospital, but still gets the small percentage of patients back to hospital that get really sick.<p>It also does all the other boring monitoring and administrative work needed when you&#x27;re checking up on lots of real people.<p>Full disclosure. I worked on this project. A version has been open sourced and if you&#x27;re a hospital or other medical service you&#x27;re welcome to use our work. We&#x27;re publishing improvements as we go. <a href="https:&#x2F;&#x2F;github.com&#x2F;rmhcovid&#x2F;txtmon" rel="nofollow">https:&#x2F;&#x2F;github.com&#x2F;rmhcovid&#x2F;txtmon</a><p><a href="https:&#x2F;&#x2F;www.thermh.org.au&#x2F;news&#x2F;royal-melbourne-hospital-implements-virtual-monitoring" rel="nofollow">https:&#x2F;&#x2F;www.thermh.org.au&#x2F;news&#x2F;royal-melbourne-hospital-impl...</a><p>Using simple standalone devices and a low-coding platform already in use by hospitals (REDCap) the whole project was crash-built in a couple of weeks and is saving lives. That platform has many shortcomings (messier even than Excel), but there&#x27;s various medical&#x2F;privacy rules that make more traditional development unattractive for quickly prototyping. It&#x27;s been a rewarding project to work on despite many frustrations.
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sohkamyung将近 5 年前
Off-topic, but an inventor of the Pulse Oximeter recently passed away [1]:<p>&quot;Takuo Aoyagi, a Japanese engineer whose pioneering work in the 1970s led to the modern pulse oximeter, a lifesaving device that clips on a finger and shows the level of oxygen in the blood and that has become a critical tool in the fight against the novel coronavirus, died on April 18 in Tokyo. He was 84.&quot;<p>[1] <a href="https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;05&#x2F;01&#x2F;science&#x2F;takuo-aoyagi-an-inventor-of-the-pulse-oximeter-dies-at-84.html" rel="nofollow">https:&#x2F;&#x2F;www.nytimes.com&#x2F;2020&#x2F;05&#x2F;01&#x2F;science&#x2F;takuo-aoyagi-an-i...</a>
Fabricio20将近 5 年前
Technology Connections [0] also has a great video about these awesome devices, although not that much in-depth in comparison to this website.<p>[0]: <a href="https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=4pZZ5AEEmek" rel="nofollow">https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=4pZZ5AEEmek</a>
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ornel将近 5 年前
I measured myself at home in Mexico City and got 93%. I got kind of worried, knowing people sick with COVID-19 can have very low saturation levels without realising it. Then I remembered I was standing at about 2200 m above sea level. Lots of unexpected weirdness happens at high altutude
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wlesieutre将近 5 年前
Speculated to be included in the Apple Watch S6 this fall.<p><a href="https:&#x2F;&#x2F;9to5mac.com&#x2F;2020&#x2F;03&#x2F;08&#x2F;apple-watch-blood-oxygen-saturation&#x2F;" rel="nofollow">https:&#x2F;&#x2F;9to5mac.com&#x2F;2020&#x2F;03&#x2F;08&#x2F;apple-watch-blood-oxygen-satu...</a><p>At the time they reported that there were mentions of it in an iOS 14 leak, but it wasn&#x27;t clear if it would be a software update to existing watches (somehow able to detect it with existing heartrate hardware) or in a watch hardware revision. Since it wasn&#x27;t mentioned in the watchOS news at WWDC, looks like it&#x27;ll be new hardware.<p>Either that or the code they found in iOS 14 was related to the health app and support for 3rd party oximiters, but that&#x27;s not how the 9to5 post frames it so best I can do is take their word for it.
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dghughes将近 5 年前
The problem with pulse oximeters is the people who need them often can&#x27;t use them. Yes I know it&#x27;s not meant as a medical device.<p>My dad has COPD and IPF but he can&#x27;t use the SPO2 meter on the Samsung phone I gave him (and Samsung disabled the SPO2 function for Canada). A Garmin VivoSmart 4 can&#x27;t give a decent reading on him or me and it takes forever. Part of the problem is blood flow dad&#x27;s fingers are ice cold due to his condition.<p>My dad uses a cheap oximeter from Walmart it works better than anything else. It&#x27;s the type that clips over a finger it&#x27;s fast and seems to be accurate. I&#x27;d like to get a wristband or watch that has a good SPO2 meter but nothing seems to exist.
bdcravens将近 5 年前
The most painful thing I&#x27;ve experienced medically was an arterial blood draw to measure my o2 sat levels. (They numb your inner wrist with novocaine then go in with a giant needle to the artery deep in there. If it&#x27;s that painful numb, I can&#x27;t imagine what it&#x27;d be like otherwise.<p>And each time it was no more accurate than the pulse oximeter.
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dvt将近 5 年前
Went to a party last weekend where the host used a pulse oximeter (and thermometer) on everyone. Blood O2 level is apparently a leading indicator of COVID-19. Pretty cool stuff. The inner workings of it are actually quite simple as well, pretty amazing that it works as well as it does.
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leetrout将近 5 年前
It&#x27;s always interesting to me how much of a hivemind the internet has and how many coincidences there are. Just last night I dug out my cheapo pulse oximeter and checked everyone in my house to get a baseline.<p>I then googled how they work and read pretty much the same thing.
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DangerousPie将近 5 年前
Does anybody have any suggestions for how to check whether a pulse oximeter actually works properly?<p>I bought one online from a not particularly trustworthy shop. I have never seen it show any value other than 99%. How can I figure out whether it actually does anything and doesn&#x27;t just show 99% no matter what?
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acidburnNSA将近 5 年前
SO is an internal medicine doctor. When covid was ramping up at first and we thought there would be beds in school gyms and stuff the first thing she did was get a pulse oximeter off the internet.
dreamcompiler将近 5 年前
FWIW some Samsung phones (and probably others) have this functionality built in. I&#x27;ve tested mine and I consistently get readings within 1 point of my gold-standard Nonin pulse oximeter.
progre将近 5 年前
Since the site is hugged to death, why not check out Technology Connections video instead: <a href="https:&#x2F;&#x2F;youtu.be&#x2F;4pZZ5AEEmek" rel="nofollow">https:&#x2F;&#x2F;youtu.be&#x2F;4pZZ5AEEmek</a>
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amiga_500将近 5 年前
Does anyone know the degradation in blood oxygen levels under moderate exercise for a person who is fairly health (not athlete but slim, does regular exercise)?<p>I had covid, so bought one of these, and I&#x27;m now building my way back to being able to jog, after months of shortness of breath. I would like to be able to understand what level my blood oxygen %, for a normal, healthy person, would drop to when say jogging.
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rcar将近 5 年前
cached: <a href="https:&#x2F;&#x2F;webcache.googleusercontent.com&#x2F;search?q=cache:Gs1gDy7I1WkJ:https:&#x2F;&#x2F;www.howequipmentworks.com&#x2F;pulse_oximeter&#x2F;+&amp;cd=1&amp;hl=en&amp;ct=clnk&amp;gl=us" rel="nofollow">https:&#x2F;&#x2F;webcache.googleusercontent.com&#x2F;search?q=cache:Gs1gDy...</a>
nerdbaggy将近 5 年前
It’s weird, when I have a pulse oximeter on my finger and a blood pressure cuff on and it’s rather inflated I get electrical feeling shocks up my arm. The both have to be on the same arm. No idea what it is, probably a pinched nerve.
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sirius87将近 5 年前
Wow! that was a fantastic, insightful read. did not know the pleth was of note.
dmitrygr将近 5 年前
It is really grating that all the visualizations are wrong. Blue is shorter wavelength than red. Infrared is longer wavelength than red. Every single image is wrong. :(
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vwcx将近 5 年前
Can anyone recommend an inexpensive fingertip oximeter?
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jacquesm将近 5 年前
What a fantastic, no nonsense and well researched article this is. I read it a couple of months ago and was very much impressed.
el_don_almighty将近 5 年前
HN is the new &#x2F;.
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behnamoh将近 5 年前
&quot;Error establishing a database connection&quot;
oehtXRwMkIs将近 5 年前
Fun fact about pulse oximeters: in California EMTs are regulated so strictly that it is illegal for them to use a pulse oximeter as it is deemed &quot;invasive&quot;. So if anyone is experiencing a medical emergency that could successfully be delayed following the algorithm involving checking blood O2, they better hope the EMT is experienced&#x2F;lucky enough to suspect low O2 or that there&#x27;s a paramedic or nurse on board. It&#x27;s definitely one of those laws that aren&#x27;t really enforced but it&#x27;s weird that in California EMTs have to break the law to do basic screening.
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